No one knows the Caribbean better than Royal Caribbean International. After all, it is their middle name. From snorkeling and swimming to shopping and golf, the Caribbean is the ultimate outdoor playground. What better way to vacation than to be surrounded by white-sand beaches, turquoise waters and the most beautiful islands on earth?


  Day Date Port Arrive Depart
  Sat Nov 9 Fort Lauderdale, Florida - Embark 5:00pm
  Sun Nov 10 At Sea
  Mon Nov 11 Labadee, Haiti 8:00am 5:00pm
  Tue Nov 12 Falmouth, Jamaica 10:00am 7:00pm
  Wed Nov 13 At Sea    
  Thu Nov 14 Cozumel, Mexico 8:00am 7:00pm
  Fri Nov 15 At Sea    
  Sat Nov 16 Fort Lauderdale, Florida - Disembark 7:00am  

Saturday, November 9 - Board Ship in Fort Lauderdale, Florida

Fort Lauderdale lies along the Atlantic Ocean at the mouth of the New River, 25 miles north of Miami. Its warm tropical weather at tracts many people throughout the year. For sun-worshippers, the city has six miles of beaches. There are also many recreational waterways with extensive boating facilities, access to every conceivable watersport, a variety of fascinating museums and trendy restaurants, and an array of entertainment venues. Take a 30-minute airboat ride across the Everglades, one of the most breathtaking natural areas in America. Discover a variety of fish and birds that inhabit the area, and perhaps see the most famous Everglades inhabitant - the alligator. Fish is fresh and delicious in Florida. Grouper is probably the most popular choice and is served almost anyway imaginable. A true Florida staple is a fresh grouper sandwich and fries eaten outside by the water.

Sunday, November 10 - At Sea

Monday, November 11 - Labadee®, Haiti

On the north coast of Hispaniola, surrounded by beautiful mountain slopes and exotic foliage, sits Labadee®, Royal Caribbean's private paradise. This exclusive destination offers pristine beaches, breathtaking scenery, and spectacular water activities. There is even an amazing new Aqua Park for kids. Regardless of where you go, you'll find yourself embraced by the beautiful landscape. Labadee's® native charm, along with its natural beauty, make this a destination not to be missed, and only Royal Caribbean can take you there. Whether you want to kayak along the coastline, parasail 400 feet above the beautiful peninsula of Labadee®, ride aboard a waverunner along the coast, shop for handmade local artwork, or just relax on the beach, you don't want to miss Labadee®.

Tuesday, November 12 - Falmouth, Jamaica

Step off the ship and step back in time. It may not appear so at first glance, but quaint Falmouth was an economic powerhouse and center for dramatic social change during the English Colonial Period. In today's Falmouth, visitors still enjoy 19th-century Georgian architecture as well as river bamboo raft rides, arts and crafts shop ping, flavorful local fare and horse-and-buggy rides through town. Falmouth also serves as the gateway to the best Jamaica has to offer. Just east of Falmouth is Ocho Rios, best known for its spectacular Dunn's River Falls. Travel west to reach Montego Bay and the beautiful beaches of Negril, a two-hour drive from Falmouth. Thanks to its central location, Falmouth gives visitors the best tour experiences of the north coast of Jamaica.

Wednesday, November 13 - At Sea

Thursday, November 14 - Cozumel, Mexico

The Conquistadors first saw Mexico from the shores of Cozumel while searching for gold. Today, visitors to the island continue to seek out gold and silver jewelry in the shops of San Miguel while having a great time in its many local bars and restaurants. Plus, the waters around Cozumel's sheltered coral reefs make this one of the best snorkeling areas in the world. Don't miss the opportunity to explore the ruins of the ancient Mayan city of Tulum, majestically perched above the turquoise Caribbean. Play and swim with dolphins, take a Jeep safari adventure through the tropical landscape, learn to prepare a Mexican feast, or escape the secluded beauty of your own private beach paradise, Passion Island.

Friday, November 15 - At Sea

Saturday, November 16 - Disembark in Fort Lauderdale, Florida

The Ship: Oasis of the Seas

Experience Royal Caribbean's most innovative and imaginative ship yet, Oasis of the SeasSM - where, for the first time ever, entertainment areas have become neighborhoods at sea. Find a revolutionary public space combining nature with nautical in our Central Park neighborhood, or old-world charm with a modern twist in the entertaining Boardwalk neighborhood. Visit the Pool and Sports Zone to explore an entire deck of pools, rock-climbing walls, basketball courts, and more. And don't forget the Youth Zone - where kids can be kids and parents can be worry-free. With a total of seven distinct onboard neighborhoods, everyone can discover a place for unique experiences. With 28 ultra-modern loft suites and 2,700 spacious staterooms, this 16-deck marvel proves that the impossible, is possible.



  • Passenger Capacity: 5,400 double occupancy; 6,360 maximum
  • Gross Tonnage: 225,282
  • Length: 1,187' Beam: 215.7'
  • Draft: 30'
  • Cruising Speed: 22 knots


Seven distinctly designed neighborhoods including:

Vitality at Sea Spa and Fitness

  • Solo and couple massage suites
  • Youth spa
  • Complete hair and makeup services
  • 158 state-of-the-art cardio and resistance machines
  • Pilates, kickboxing, yoga, and spinning classes
  • Vitality Cafe

Pool and Sports Zone

  • H2O Zone aqua park for kids
  • 4 pools and 10 whirlpools
  • Tranquil poolside Solarium area
  • 2 Flowriders®, sports court, mini-golf, and zip line
  • Solarium Bistro, Wipe Out Cafe and Bar

Entertainment Place

  • Casino Royale
  • Studio B, featuring ice shows
  • Opal Theater - 1,380-seat venue
  • Blaze Nightclub, Jazz on 4, Comedy Live
  • Dazzles, featuring musical spectacles ranging from big band to disco

Youth Zone

  • Play - open gym and activity area
  • Adventure Ocean Theater and Science Lab
  • The Workshop - includes activities such as jewelry making and scrapbooking
  • Royal Babies and Royal Tots - nursery service
  • Teen Areas including Fuel disco, The Living Room lounge, the Back Deck, and more

Cabins Oasis of the Seas


Most offer multiple rooms, balconies, and some even offer extras like complimentary concierge service or a baby grand piano.

Balcony Staterooms

Two twin beds (can convert to queen), private balcony, sitting area, and private bath room.

Oceanview Staterooms

Two twin beds (can convert to queen), sitting area, and private bathroom.

Interior Staterooms

Two twin beds (can convert into queen-size bed), sitting area, and private bathroom.

We have a block of cabins for seminar participants. Once this block is sold, cabins are on availability only and may be at a higher rate. Cruises sell out early.

Travel Arrangements

To receive these discounted cruise fares you must book your cruise through us. We have all of the information regarding the cruise and seminar and can make your cruise reservations.


Reservations will be secured and cabins assigned upon receipt of passenger deposit in the amount of $250 of the fare per person. Final payment as instructed by our travel agent. Due to the number of details needed to complete a cruise cabin booking accurately, a cabin will not be booked for you until you have spoken with one of our cruise agents via phone or via direct email correspondence. Please contact our office at 800-222-6927 or 509-547-7065 to complete your cruise reservation.

Discounted Fares

We have been able to negotiate a GREAT DISCOUNT for you on this luxurious cruise!! See reservation form for details. Various promotional fares may also be available. ALWAYS CALL BEFORE BOOKING ANYWHERE ELSE: (800) 222-6927


Universal Travel. Be sure to mention Northwest Anesthesia Seminars when booking.

Contact: Kellee Kilmer, (858) 456-7887


This course is designed for physicians, certified registered nurse anesthetists, physician assistants, registered nurses and other medical care providers who must maintain state-of-the-art knowledge of not only the specialty but also of all additional, related disciplines which may impact it.


The practitioner of anesthesiology must possess the scientific background for clinical practice; maintain state-of-the-art knowledge of not only the specialty, but also of all additional, related disciplines which may impact it; maintain an up-to-the-minute armamentarium of knowledge and skills for the selection and use of complex equipment, pharmacologic agents, and procedures necessary for the provision of quality patient care; manage self and colleagues to function toward common goals in the clinical setting, the clinical and educational institutions, and the community in which the practice resides; serve as an expert in matters involving health care delivery; serve as an informed manager of clinical and educational services provided, including the acquisition and distribution of resources necessary in meeting professional goals; and provide assistance with and support of other service providers, departments, institutions, and organizations dependent upon the professional expertise of the practitioner. Presentations are designed to facilitate the physician, nurse specialist, and other providers maintaining skills of the same kind to review and update knowledge and abilities in one or more of these areas vital to the practicing professional.


At the conclusion of this activity, the participant will be able to:

Discuss the pertinent physical and behavioral sciences - to include but not be limited to advanced anatomy and physiology, pathophysiology, chemistry, physics, psychology, and social sciences - as they impact and are affected by the planning, delivery, and monitoring of anesthesia and related services inherent in the anesthesia profession.

Explain the selection and dosing considerations with methods of administration, safe use, and contraindications and precautions of presented pharmacological agents through the understanding of their physico-chemical properties, pharmacokinetics and pharmacodynamics, updated uses, and more recently developed additional, related, similar drugs.

Outline comprehensive management plans for the group of patients discussed, whether related in age, physical status, cultural background, invasive procedure, anesthetic or analgesic requirements, clinical setting, adverse reactions, and/or goals of care.

Discuss the principles of safety and asepsis in the performance of anesthetic procedures and administrations, equipment use, and other applications encountered during the provision of anesthesia and analgesia whether in the surgical unit, the labor and delivery suite, the pain management clinic, or other more remote location of anesthetizing services.

Discuss the principles of safety and asepsis in the performance of anesthetic procedures and administrations, equipment use, and other applications encountered during the provision of anesthesia and analgesia whether in the surgical unit, the labor and delivery suite, the pain management clinic, or other more remote location of anesthetizing services.

Discuss incorporation, into practice, the appropriate recommendations and/or requirements of pertinent external organizations, institutions, and professional groups - recognized as serving as the authority for and/or holding the responsibility to compile and approve such tenets - in the provision of anesthesia and related services, whether medical, legal, philosophical,
ethical, or health care management standards.

Describe the new techniques in the clinical setting of the participant.

Topics in Anesthesia
7-Night Western Caribbean Cruise
November 9-16, 2013

Saturday, November 9 - Fort Lauderdale, Florida - Embark

  1700 Ship sails

Sunday, November 10 - At Sea

  0745 Registration - Mandatory Sign In
  0755 Welcome NWAS Staff  
  0800 Airway Clinic (2 hours) D.Jones  
  1000 Break
  1015 Fluid Resuscitation: How Much Is Enough? E.Frost  
  1115 Update on Drug Safety E.Frost  
  1200 Lunch
  1315 Perioperative Renal Protection D.Jones  
  1415 Guidelines for Anesthesia for the Obese Patient D.Jones  
  1515 Brain Function Monitors: Can You Measure Depth of Anesthesia? D.Jones  
  1615 Adjourn

Monday, November 11 - Labadee, Haiti - Day Open


Tuesday, November 12 - Falmouth, Jamaica - Day Open


Wednesday, November 13 - At Sea

  0900 Registration - Mandatory Sign In
  0915 Current Thinking in Neuroanesthesia E.Frost  
  1015 Update on Anesthetic Management of Head Trauma E.Frost  
  1115 Perioperative Care of the Patient with Spinal Cord Injury E.Frost  
  1215 Lunch Break
  1330 Preoperative Assessment D.Jones  
  1430 Anesthesia for Ambulatory Surgery D.Jones  
  1530 Unanticipated Admission D.Jones  
  1630 Adjourn

Thursday, November 14 - Cozumel, Mexico - Day Open


Friday, November 15 - At Sea

  0745 Registration - Mandatory Sign In (Have breakfast before)
  0800 Blood Transfusion: Good, Bad or in Between? E.Frost  
  0900 Navigating the Medico Legal Minefield E.Frost  
  1000 Break
  1015 The "Young and the Restless": Management of the Combative Patient D.Jones  
  1115 Guidelines for Anesthesia Management of the Elderly D.Jones  
  1215 Lunch Break
  1315 Herbal Stuff: Can it Help? Hurt? E.Frost  
  1415 Ethical Issues in Anesthesia E.Frost  
  1515 Participants Case Discussion E.Frost  
  1615 Adjourn 20 CME 1 / 20 CEC  

Saturday, November 16 - Fort Lauderdale, Florida

Disembark and departure as scheduled


Elizabeth Frost, MD
Professor of Anesthesia
Mount Sinai Medical Center
New York, New York

Dean R. Jones, MD, FRCPC
Clinical Assistant Professor of Anesthesiology
Department of Anesthesiology, Pharmacology, and Therapeutics
University of British Columbia
Attending Anesthesiologist
Delta Hospital
Delta, British Columbia, Canada


The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas designates this live activity for a maximum of 20 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas and Northwest Anesthesia Seminars, Inc. The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas is accredited by the ACCME to provide continuing medical education
for physicians.

Physician Assistants: AAPA accepts Category I credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credits™ from organizations accredited by the ACCME.

Canadian Physicians: The Royal College of Physicians and Surgeons of Canada lists The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas, as an approved ACCME accredited provider. The AMA PRA Category 1 Credits™ awarded may be submitted by the participant to the RCPSC for equivalent MOC Section 1 Credits.

Certified Registered Nurse Anesthetists: AANA approved for 20 CEC Code #1027841      Expiration Date 11/15/2013

RNs: NWAS is approved by the California Board of Nursing, Provider Number 04833 and Florida and Washington, DC Boards of Nursing, Provider Number 50-7480. This program offers 20 contact hours. Meets the requirements of the Pennsylvania Board of Nursing, Rules and Regulations §21.133.


Mark Murphy, MD, MSN Education, Austin, Texas and Medical Director, Northwest Anesthesia Seminars, Pasco, Washington.


Factors beyond our control sometimes necessitate changes in the schedule and faculty. If time permits, we will inform all registrants of any changes prior to the program. Changes on site due to local conditions will be announced in class.


We reserve the right to cancel a course for any reason. In such case, a mini­mum of 60 days notice will be given to those registered and 100% of tuition paid will be refunded. NWAS and NWWT will not be responsible for any non-refundable cruise fare, airfare, hotel, or other liabilities you may incur. We highly recommend purchase of travel insurance.


$0 until Sept. 8, 2013. $100 between Sept. 9 and Oct. 9, 2013. No refund after Oct. 9, 2013; however, 50% of tuition paid may be applied toward tuition for another NWAS program within 12 months. Cancellation must be in writing.


Penalties apply for cancellation of the cruise for any reason. We strongly recommend purchase of the cancellation insurance. Please be aware that premiums paid for insurance are non-refundable.

FAP (Frequent Attendee Points)

FAP lets you accumulate points based on dollars spent with NWAS including net cruise, net hotel, and tuition booked through NWAS (but not air). Once you have enough points to cover a full tuition they can be redeemed for tuition (no cash value). A great program to reward you for supporting NWAS! FAP is an especially valuable bonus when you book your cruises through NWAS. Not only do you receive the lowest fare, but you get a 1.5% of net cruise fare credit toward future tuition! Click here for more information.

Lecture notes will be provided on a CD in PDF format.

Please note that children and non-registered guests are not allowed to attend the lectures.


We recommend that you register early to assure your spot. We reserve the right to close registrations to a course at any time without notice. We may not be able to accommodate onsite registrations.